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December 2021 — MHCE Newsletter

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16 | MHCE - News www.mhce.us DECEMBER 2021 EDITION National Guard Helping Virus-Sapped States, Hospitals More U.S. states desperate to defend against COVID-19 are calling on the National Guard and other military personnel to assist virus-weary medical staffs at hospitals and other care centers. People who became sick after refusing to get vaccinated are overwhelming hospitals in certain states, especially in the Northeast and the Upper Midwest. New York, meanwhile, announced a statewide indoor mask order, effective Monday and lasting five weeks through the holiday season. We're entering a time of uncertainty, and we could either plateau here or our cases could get out of control," Gov. Kathy Hochul warned Friday. The New York National Guard said it had deployed 120 Army medics and Air Force medical technicians to 12 nursing homes and long-term care facilities to relieve fatigued staff. Dr. Paolo Marciano, chief medical officer at Beaumont Hospital in Dearborn, Michigan, said it was a "tremendous lifeline" to get assistance from the Defense Department, which has more than 60 nurses, doctors and respiratory therapists assigned to the state. "It allowed us to be able to care for the COVID patients and at the same time still maintain the level of care that cancer patients require or people with chronic illnesses," Marciano said. "Where we are today is really just keeping our heads above water." In Michigan, health director Elizabeth Hertel was equally blunt: "I want to be absolutely clear: You are risking serious illness, hospitalization and even death" without a vaccination. The seven-day rolling average for daily new cases in the U.S. rose over the past two weeks to 117,677 by Thursday, compared to 84,756 on Nov. 25, Thanksgiving Day, according to Johns Hopkins University. The number of people hospitalized with COVID-19 has soared to about 54,000 on average, according to the Centers for Disease Control and Prevention. Meanwhile, the country is approaching a new milestone of 800,000 COVID-19 deaths. More than 200 million Americans, or about 60% of the population, are now fully vaccinated. In Maine, which hit a pandemic high this week with nearly 400 COVID-19 patients in hospitals, as many as 75 members of the National Guard were being summoned to try to keep people out of critical care with monoclonal antibodies and to perform other non-clinical tasks. Maine has one of the highest COVID-19 vaccination rates in the country -- 73% -- but that rate lags in many of the state's rural pockets. New York's mask order covers all indoor public places unless a business or venue has a vaccine requirement. The state reported more than 68,000 positive tests for the virus in a seven-day period that ended Wednesday, the most for any seven-day stretch since February. New York City and several upstate New York counties already have mask mandates. Critics, however, said the governor's announcement was another burden for businesses. "Government overreach at its worst," said Republican Assemblyman Mike Lawler. Michigan is sending more ventilators to hospitals and asking for even more from the national stockpile. Infection rates and hospitalizations are at record levels, 21 months into the pandemic. The first case of the omicron variant was confirmed Thursday in the Grand Rapids area. The largest hospital system in Indiana enlisted National Guard for support this week at a time when the number of COVID-19 patients in the state has more than doubled in the past month. The state's COVID-19 hospitalizations are now higher than Indiana's summer surge that peaked in September and are approaching the pandemic peak reached in late 2020.

WWW.MHCE.US Monthly Newsletter | 17 The US Just Ended Combat in Iraq, but Thousands of Troops Will Stay Put for Now The U.S. military ended its combat operations in Iraq this week under terms from an earlier agreement, though thousands of troops will remain in the country for now, the Pentagon said Thursday. About 2,500 service members are in Iraq after months of winding down the mission against the Islamic State group; they will continue advising and training Iraqi security forces after the transition was completed this week. The change was finalized at the conclusion of technical talks between the two countries Thursday. of Combined Joint Task Force-Operation Inherent Resolve, said in a released statement, referring to ISIS with the term used by Iraqis. ISIS "is down, but not out," Brennan said in the statement. It is the second time in a decade that the U.S. has pulled back forces amid an apparent calming in Iraq. In 2011, President Barack Obama announced an end to the earlier Iraq War launched in 2003 to topple Saddam Hussein, only to re-enter the country three years later to fight the burgeoning terrorist group. The main threat now to U.S. troops remaining in the country is Shia militia groups backed by Iran. The groups are blamed for drone and rocket attacks on U.S. bases in Iraq and Syria. "We have to assume threats to U.S. forces remain credible in Iraq," Kirby said. The move marks a de-escalation of the U.S.-led coalition's war against the Islamic State, or ISIS, that began in 2014 as the terrorist group swept through Iraq, staged public executions, and sponsored attacks around the world. This is the natural evolution," Pentagon spokesman John Kirby said, but will not result in any immediate change to the laydown and number of U.S. forces there. The U.S.-Iraq agreement to pull all combat troops from the country by the end of this year was hammered out in July. Former Iraqi Prime Minister Haider al-Abadi declared the military defeat of ISIS in 2017, after all territory such as the city of Mosul was reclaimed and the border with Syria was secured. But an insurgency waged by the group continued. VISIT OUR WEBSITE AT MHCE.US The terrorist group has been dramatically reduced to underground networks with no territory, but it once claimed 40,000 soldiers and controlled 110,000 square kilometers, according to the U.S.- led coalition. "Many brave men and women gave their lives to ensure Daesh never returns, and as we complete our combat role, we will remain here to advise, assist, and enable the ISF, at the invitation of the Republic of Iraq," Maj. Gen. John W. Brennan Jr., commander

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